Park Central Care & Rehabilitation Center - Fremont Nursing Home
General Information
UPDATEFederal Provider Number
56298
Provider Name
PARK CENTRAL CARE & REHABILITATION CENTER
Provider Address
2100 PARKSIDE DRIVE
FREMONT, CA 94536
FREMONT, CA 94536
Provider Phone Number
(510) 797-5300
Provider SSA County
0
Provider County Name
Alameda
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AAKASH, INC.
Date First Approved to Provide Medicare and Medicaid services
1971-09-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.54615
Reported LPN Staffing Hours per Resident per Day
0.83462
Reported RN Staffing Hours per Resident per Day
0.73352
Reported Licensed Staffing Hours per Resident per Day
1.56813
Reported Total Nurse Staffing Hours per Resident per Day
4.11429
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20879
Expected CNA Staffing Hours per Resident per Day
2.59717
Expected LPN Staffing Hours per Resident per Day
0.74055
Expected RN Staffing Hours per Resident per Day
1.25695
Expected Total Nurse Staffing Hours per Resident per Day
4.59466
Adjusted CNA Staffing Hours per Resident per Day
2.40550
Adjusted LPN Staffing Hours per Resident per Day
0.93544
Adjusted RN Staffing Hours per Resident per Day
0.43605
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60947
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-03-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-01-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
4
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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